Individual
LEEANNA KILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S WALNUT ST, PAULS VALLEY, OK 73075-3811
(580) 369-0482
Mailing address
PO BOX 1153, PAULS VALLEY, OK 73075-1153
(580) 369-0482
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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